Which Training Are You Registering for?*
Please type the name you would like to see on your certificate.
Please type the name you would like to see on your certificate.
(Please type Month/Day/Year)
Emergency Contact First & Last Name*
Emergency Contact Phone Number*
Emergency Contact Relationship*
What Is Your Goal Once You Complete This Class?*
HAVE YOU READ OUR POLICY?*
YES, I agree, and I confirm that I have read Nibana's Policy and I understand that, because this training is held in a closed environment that may involve touch & close physical proximity over an extended period of time, this can lead to an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from taking this training with Nibana's School Of Wisdom and I voluntarily agree to assume those risks, and I release and hold harmless Nibana Salt & Wellness & the School Of Wisdom and their Team Members as well as visiting Teachers from any claims related thereto. Nibana Salt & Wellness will not be responsible for any damage, theft, or loss of any personal items a client brings into the wellness center. We do not have lockers so leaving personal belongings will be at your own risk.
Hello and thank you for submitting your registration form. You will soon be starting on your new wisdom journey here with us at Nibana's School Of Wisdom. We will be in touch shortly to receive payment for this course. Look forward to talking with you soon. Sending much Love n'Light, Nicky